3614-BD Insulin Adjust Workbook

TROUBLESHOOTING
Sometimes you may find your blood
glucose levels go up and down wildly,
without any pattern that you can figure
out. This might make you feel like giving
up at times. Getting caught up in the
frustration and anger just makes you feel
more upset and hopeless. This section
can help you cope with these feelings
and put you on the right track to finding
the answers you need.
“I am doing everything right and my
blood sugars still aren’t in my goal…
I just don’t understand it anymore!”
If this sounds like you it’s time to:
• Take a deep breath.
• Take a step back.
• Put on your detective hat.
• Figure out what is going on!
Here are some guidelines to help you
in your search for the answer. (There is
an answer - really!) Although you may
groan at the suggestion, the best way
to figure out your problem is to keep
written records.
Go back to the drawing
board with a record log that
includes:
• Pre-meal, 2 hours post-meal and
bedtime blood glucose levels.
• Time you eat.
• Amount of carb you eat.
• Amount and type of insulin you take.
The Food and Carbohydrate Counting
Record on p. 30 may be helpful.
Now it is time to begin your
detective work
Round up the usual suspects and
concentrate. Then ask yourself a few
easy questions. Any time your answer
is YES, place a checkmark in the
appropriate box:
1. Insulin:
❑ Is there something wrong with
your insulin? Was it allowed to
get to warm or freeze?
❑ Is it expired?
❑ Are you giving it at the same time
of day? Are you missing doses or
giving it after a meal because you
forgot to give it before?
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